| NPI | 1942572805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAVEH KARANDISH D 786-536-9656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: FL ME103915) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-02-07 |